WATANACHAI SUJATANOND MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

CANCELLED

Business

First Name

WATANACHAI

Last Name

SUJATANOND

Suffix

Business Name

WATANACHAI SUJATANOND MD

Original Issue Date

07/28/1986

Effective Date

07/28/1986

Expiration Date

07/31/2008

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008